J Korean Soc Emerg Med.  2011 Oct;22(5):580-583.

Mallory-Weiss Syndrome Occurring in a Hanging Patient: Case Report

Affiliations
  • 1Department of Internal Medicine, The Daerim Saint Mary's Hospital, Seoul, Korea. shycat70@nate.com
  • 2Emergency Center, The Daerim Saint Mary's Hospital, Seoul, Korea.

Abstract

Reflex gasping when hanging leads to passive and vigorous vomiting, the mechanical force of which causes gastric mucosa laceration. Mallory-Weiss syndrome is a tear in the gastro-esophageal junction or its adjacent mucosa, and this can occur due to nausea or vomiting that is caused by various etiologic factors. Gastric fundus is the most common site of gastric mucosa lacerations. We report a case of a 41-year-old man, who tried to hang himself and, as a result, caused multiple gastric mucosa lacerations that were treated by an endoscopic hemostatic procedure in the emergency room.

Keyword

Hanging; Reflex gasping; Mallory-Weiss syndrome
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